2022 Volume 22 Issue 1 Pages 37-43
This case report describes the diagnosis and management of a shoulder pain patient using the Movement System Impairment (MSI) diagnostic system. The patient was a 25 year-old female professional clarinet player, who experienced an inferior subluxation of her right shoulder during overhead press exercise at the gym 5 weeks ago. Through a standardized movement examination, there was relative flexibility of the glenohumeral joint compared to the scapulo-thoracic joint, and relative flexibility of the posterior glenohumeral joint compared to anterior glenohumeral joint. Her MSI diagnosis was determined to be Scapular Internal Rotation with Insufficient Upward Rotation Syndrome, and Humeral Anterior Glide Syndrome. Treatments focused on isolated movements such as shoulder rotation and overhead reach with correct scapulo-humeral rhythm. Correct humeral head and scapular movements and alignment were addressed during functional activities. Patient was treated 1-2 times a week for 2.5 months. Her symptom abolished and she was able to practice the clarinet 5 hours a day without pain. She was able to return to light weight lifting at the gym without symptom or instability sensation.
